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(onabotulinumtoxinA) Pharmacy Coverage Policy P&T Review Date: 03/25/2015 UMC Revision Date: 02/26/2015 Reviewer Initials: GUY Effective Date: 05/15/2015Brand Name BOTOXPolicy type: PA Specialty:
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Reviewer initials gsy are the initials of the individual who reviews and approves a specific document, form, or report.
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Reviewer initials gsy should be filled out by writing the initials of the reviewer in the designated space on the document.
The purpose of reviewer initials gsy is to provide a clear indication that the document has been reviewed and approved by the designated individual.
The only information needed for reviewer initials gsy is the initials of the reviewer.
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